American Journal of Ophthalmology Case Reports (Sep 2021)

Posterior cyclodialysis cleft following intravitreal injection

  • Rachel H. Lee,
  • Aubrey R. Tirpack,
  • Janet L. Davis,
  • Mohamed S. Sayed,
  • Vikas Chopra,
  • Steven J. Gedde

Journal volume & issue
Vol. 23
p. 101134

Abstract

Read online

Purpose: To describe an unusual complication of an intravitreal injection. Observation: Here, we report a case of hypotony following an intravitreal injection due to a posterior cyclodialysis cleft and describe its management and resolution. Conclusions: Posterior cyclodialysis clefts are a rare cause of hypotony following intravitreal injection. Posterior clefts may not be visualized by conventional gonioscopy. Ultrasound biomicroscopy may be useful in aiding diagnosis. Importance: This report highlights a rare cause of hypotony following intravitreal injection and illustrates the importance of adjunctive imaging for accurate diagnosis.

Keywords